Professional Documents
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Abstract
Background: Nurses suffer from stress and health problems owing to the characteristics of their work and their contact
with patients and death. Since emotions can have an effect on work outcomes, emotional intelligence (EI) may explain
the individual differences in dealing with work stress.
Objectives: This study investigated the interrelationships among EI, work stress and health. We also examined the
impact of socio-demographic variables (e.g. age, gender, length of service,y) on stress and nurses health.
Design: A questionnaire survey (anonymous) has been carried out to detect these interrelationships.
Setting: A general public hospital in Spain
Participants: One hundred and eighty nurses.
Methods: Data was gathered on demographic information and work, stress, health and EI. Beyond descriptive
statistics, analyses of variance, mean differences and regression analyses were computed.
Results: Findings show a differential effect of the EI components in stress and health. As far as stress is concerned, the
results show that the nurses who score high in clarity and emotional repair report less stress, whereas those with high
scores in attention to emotions experience greater levels of stress. Furthermore, we nd a positive relationship between
age, length of service and stress, with younger nurses and those with a shorter length of service experiencing less stress.
However, EI and health are not related to age or to length of service. Also, we nd that married nurses report better
general health.
Conclusions: EI is shown for nurses as a protective factor against stress and a facilitative factor for health (especially
the Clarity and Repair dimensions). These comments could be especially important in training future professionals in
these abilities.
r 2007 Elsevier Ltd. All rights reserved.
Keywords: Health; Nurses; Occupational; Perceived Emotional Intelligence; Stress
0020-7489/$ - see front matter r 2007 Elsevier Ltd. All rights reserved.
doi:10.1016/j.ijnurstu.2007.03.005
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Emotional
889
1. Introduction
Health professionals frequently suffer from stress
owing, among other factors, to the characteristics and
working conditions typically found in hospitals. One of
the groups of workers most affected by this problem is
nurses, who, irrespective of the unit in which they work,
frequently suffer from stress. Several studies point out
that student nurses, ward nurses, renal care nurses and
psychiatric nurses report that they feel stress in their
work (Foxall et al., 1990; Hipwell et al., 1989; Piko,
2006; Ryan and Quayle, 1999; Sveinsdottir et al., 2006;
Tyson and Pongruengphant, 2004; Wheeler and Riding,
1994).
Several organizational stressors have been identied,
such as timetables, work overload and contact with
death. With regard to the rst, it should be noted that
shift work and night shifts inuence biological rhythm,
altering the sleep cycle and work-family relationships
(Piotrkowski et al., 1987). Also, work overload and
contact with death have been considered important
sources of stress (Hipwell et al., 1989; Cottrell, 2001;
Tyler et al., 1991). The main consequences of these are:
absenteeism (Wheeler and Riding, 1994), alcoholism
(McGrath et al., 2003), exhaustion and attempted
suicides (Jones et al., 1987), and somatic diseases
(Lindop, 1999). In line with these results, Jones (1987)
found that nurses are one of the groups of workers with
the lowest life expectancy.
We have to take these results into account, but we
should note that the consequences or/and effects of
stress also depend on socio-demographic variables
such as age and gender (McGrath et al., 2003), on
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4. Method
4.1. Participants and procedure
The participants were 197 qualied nurses from a
public hospital1 in southern Spain. Seventeen questionnaires were incomplete and eliminated from the nal
sample. The nal sample was made up of 180
participants (46 men and 134 women) with a mean age
of 40.14 (range 2358).2
1
The Spanish Health System is based on a public system
supported by the government. Nurses who work in public
hospitals have the same training as nurses in private hospitals.
They are recruited by means of a competitive entrance exam.
Most Spanish hospitals are public.
2
The higher proportion of women than men in our sample is
congruent with the study carried out by Komblit and Mendes
Diz (1998), which found that 75% of nursing professionals all
over the world are women.
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5. Results
In Table 1, we show descriptive statistics, standard
deviations and Cronbachs a for all variables in the study.
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Table 1
Descriptive statistics, standard deviations and Cronbachs a for all variables in the study
Variable
Means (N)
S.D.
Emotional intelligence
Emotional attention
Emotional clarity
Emotional repair
24.30 (167)
26.68 (165)
27.69 (172)
5.50
6.03
6.06
0.83
0.87
0.85
Health dimensions
Physical function (PF)
Physical role (PR)
Body pain (BP)
General health (GH)
Vitality (VT)
Social function (SF)
Emotional role (ER)
Mental health (MH)
Health transition (HT)
28.94
7.58
9.35
18.99
16.63
8.51
5.50
22.38
3.26
(174)
(172)
(178)
(177)
(177)
(178)
(172)
(177)
(178)
2.08
1.04
1.66
3.05
3.14
1.60
0.94
3.63
1.69
0.85
0.86
0.67
0.66
0.74
0.67
0.81
0.72
8.25
8.29
5.65
3.40
6.37
2.71
0.98
1.76
1.23
(160)
(167)
(169)
(167)
(167)
(174)
(167)
(171)
(169)
3.15
3.18
2.98
2.15
3.12
1.80
0.69
1.26
0.86
0.74
0.72
0.78
0.74
0.75
0.51
0.77
Note: Emotional intelligence subscale means are on a scale ranging from 8 to 40, in which higher numbers indicate greater emotional
attention, clarity of repair.
Stress Means are on a scale ranging from 0 to 15 in which higher numbers indicate greater stress.
Health dimension means are on a scale ranging from 1 to 100 in which higher numbers indicate greater levels of the variable.
All the variables were ordinal.
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Table 2
Regression analysis predicting scores on the nursing stress scale
Variable
(Criterion: Death and suffering)
Sep 1: Covariant
Age
Sex
Married
Length of service
Sep 2: TMMS
Attention
Clarity
Repair
(Criterion: Service load)
Sep 1: Covariant
Age
Sex
Married
Length of service
Sep 2: TMMS
Attention
Clarity
Repair
R2
0.01
0.47
0.06
0.00
0.02
0.02
0.10
0.13
0.02
0.09
0.15
0.41
0.85
0.30
0.37
0.16
0.05
0.04
0.09
0.67
0.66
0.05
0.03
0.02
0.00
0.73
0.70
0.85
0.95
0.10
0.01
0.12
0.30
0.88
0.22
0.07
0.08
0.07
0.03
0.62
0.35
0.39
0.84
0.19
0.18
0.04
0.05*
0.08
0.71
0.05
0.11
0.00
0.12
0.75
0.21
0.95
0.45
0.00
0.17
0.03
0.98
0.10
0.79
0.01
0.01
0.11
0.09
0.93
0.82
0.20
0.56
DR2
0.01
1.07
0.05
0.12
0.02
0.38
0.02
0.81
0.00
1.29
0.05*
1.52
0.02
1.54
0.04
0.80
0.01
2.21
0.08*
0.11
0.34
0.18
0.20
0.00**
0.05*
1.03
0.00
0.09
0.53
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Table 2 (continued )
Variable
Sex
Married
Length of service
Sep 2: TMMS
Attention
Clarity
Repair
R2
0.06
0.03
0.13
0.08
0.04
0.05
0.34
0.67
0.76
0.18
0.08
0.02
0.05*
0.42
0.85
0.22
0.04
0.11
0.05
0.13
0.67
0.19
0.76
0.11
0.10
0.05
0.25
0.33
0.61
0.00
0.00
0.02
0.16
0.98
0.98
0.78
0.30
0.05
0.35
0.13
0.59
0.00**
0.15
1.18
DR2
0.03*
1.86
0.02
1.90
0.04
0.98
0.00
2.85
0.10**
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Table 3
Differences in health dimensions depending on high or low emotional regulation
Health dimensions
t-student
Physical function
Physical role
Physical pain
General health
Vitality
Social function
Emotional role
Mental health
Health transition
28.68
7.49
9.05
18.05
15.15
8.21
5.33
20.68
2.97
29.41
7.82
9.82
20.07
17.97
8.76
5.64
23.84
2.91
2.17*
1.98*
2.83**
4.0**
5.53**
2.01*
1.74
5.29**
0.55
6. Discussion
In our study, we aimed to analyze the relationship
between EI, stress and health among nurses. Specically,
we wanted to check whether the effects of EI upon these
variables were positive. Therefore, we conducted a study
in which 180 nurses from a public hospital participated.
Our objective focused on two main aspects. On one
hand, to study the direction that this relationship
adopts, and on the other hand, to analyse whether this
relationship differs in socio-demographic and work
variables.
Our rst hypothesis is supported, since a differential
effect occurs in the components of IE in stress and
health. For stress, the results indicate that people with
high scores in clarity and emotional repair report less
stress, whereas those with high scores in attention to
emotions experience greater levels of stress. These results
are in line with others, such as those of Limonero et al.
(2004), Extremera et al. (2003), and may be due to the
emotional spiral that is created when excessive attention
is given to the emotions and ruminant negative thoughts
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Table 4
Regression analysis predicting scores in health survey SF-36
Variable
(Criterion: Physical functioning)
Step 1: Covariant
Age
Sex
Married
Length of service
Step 2: TMMS
Attention
Clarity
Repair
(Criterion: Physical role)
Step 1: Covariant
Age
Sex
Married
Length of service
Step 2: TMMS
Attention
Clarity
Repair
(Criterion: Emotional role)
Step 1: Covariant
Age
Sex
Married
Length of service
Step 2: TMMS
Attention
Clarity
Repair
(Criterion: Physical pain)
Step 1: Covariant
Age
Sex
Married
Length of service
Step 2: TMMS
Attention
Clarity
Repair
(Criterion: Vitality)
Sep 1: Covariant
Age
Sex
Married
Length of service
Step 2: TMMS
Attention
Clarity
Repair
(Criterion: Mental health)
Step 1: Covariant
Age
Sex
R2
0.03
0.91
0.06
0.04
0.06
0.02
0.04
0.01
0.07
0.01
0.20
0.02
0.11
0.13
0.06
0.03
0.47
0.14
0.51
0.82
0.05
0.01
0.20
0.60
0.91
0.04*
0.11
0.10
0.14
0.02
0.48
0.25
0.09
0.88
0.05
0.10
0.14
0.62
0.35
0.18
0.17
0.51
0.03
0.06
0.29
0.57
0.76
0.70
0.13
0.09
0.08
0.16
0.38
0.41
DR2
0.03
1.22
0.03*
1.42
0.01
1.12
0.02
0.64
0.01
0.81
0.02
0.34
0.02
0.17
0.01
0.03
0.17
0.27
0.92
0.77
0.30
0.06
0.09
0.29
0.49
0.35
0.00**
0.12
0.00
0.06
0.18
0.46
0.96
0.47
0.26
0.10
0.04
0.48
0.23
0.68
0.00**
1.47
0.06**
0.46
0.01
5.05
0.19**
0.57
0.01
0.20
0.00
0.89
0.94
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Table 4 (continued)
Variable
R2
Married
Length of service
Step 2: TMMS
Attention
Clarity
Repair
B
0.82
0.71
0.24
0.34
0.65
6.12
0.22**
0.00**
0.00**
0.00**
0.23
0.34
0.29
0.01
0.04
0.02
0.10
DR2
0.42
0.01
0.05
0.00
0.01
0.06
0.75
0.91
0.90
0.69
0.08
0.11
0.06
0.34
0.28
0.27
0.18
0.08
0.07
0.15
0.22
0.33
0.37
0.31
0.07
0.09
0.26
0.43
0.33
0.00**
0.82
0.03
0.74
0.00
2.37
0.08**
Table 5
Means and standard deviations for the stress dimensions by length of service
Stress dimensions
F1.
F2.
F3.
F4.
F5.
F6.
F7.
F8.
F9.
Length of service
p9 years
1020
2130
X31
8.67
8.11
6.31
3.55
7.40
3.03
1.23
1.92
1.55
8.39
8.75
6.02
3.85
6.73
2.84
.96
1.87
1.28
7.97
7.57
4.72
2.66
5.36
2.31
.94
1.60
1.08
6.5 (2.26)
8.43 (2.51)
4.50 (2.25)b
2.16 (1.72)c
5.43 (1.27)b
2.57 (1.62)
.57 (.53)
.66 (1.03)
.43 (.78)b
(2.92)
(2.84)
(3.37)a
(2.19)a
(3.57)a
(1.77)
(.93)
(1.24)
(1.03)a
(3.06)
(3.24)
(2.98)a
(2.23)b
(2.83)a
(1.94)
(.59)
(1.31)
(.82)a
(3.55)
(3.27)
(2.62)b
(1.77)a
(3.26)b
(1.54)
(.67)
(1.18)
(.74)a
Note: Means that do not share a common subscript differ at the .05 level or smaller by Duncan contrasts. F1: Death and suffering; F2:
Work overload; F3: Uncertainty with the treatment; F4: Problems with the hierarchy; F5: Insufcient preparation; F6: Lack of
support; F7: Not knowing how to handle equipment; F8: Problems with colleagues; F9: Staff shortage.
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Acknowledgment
We thank Mike Epps for editing the manuscript.
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